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182-52-0025  <<  182-52-0030 >>   182-52-0035

(Effective June 10, 2024)

PDFWAC 182-52-0030

Prescription drug affordability boardAdvisory groupsPurpose, participation, application process, and operations.

(1) The prescription drug affordability board advisory groups provide stakeholder input to the board regarding the affordability of prescription drugs.
(2) Utilizing administrative support from the authority, the board will establish advisory groups consisting of relevant stakeholders and subject matter experts for each drug selected for a drug affordability review conducted by the board.
(a) Advisory groups will consist of patients and patient advocates for the condition treated by the drug and one representative of the prescription drug industry. Additional group members, as selected by the board may include, but are not limited to, relevant stakeholders and experts in the following subject matters:
(i) The pharmaceutical business model;
(ii) Supply chain business model;
(iii) The practice of medicine or clinical training;
(iv) Health care consumer or patient perspectives;
(v) Health care cost trends and drivers;
(vi) Clinical and health services research;
(vii) The state's health care marketplace; or
(viii) Health care provider who specializes in treating the condition for the drug being reviewed.
(b) To the extent possible, advisory group members will have experience serving underserved communities and reflect the diversity of the state with regard to race, ethnicity, immigration status, income, wealth, disability, age, gender identity, sexual orientation, and geography.
(3) Advisory group members are chosen by the authority. Once members complete the conflict of interest form, they serve on the advisory group(s) through conclusion of the current affordability review. The authority may remove or replace advisory group members for, among other reasons:
(a) Failure to participate;
(b) Unprofessional/unethical behavior; or
(c) Conflict of interest.
(4) Advisory group members cannot be an employee of, a board member of, or a consultant to any of the following:
(a) Prescription drug manufacturer (with the exception that one representative from the prescription drug industry can serve on an advisory group and may be an employee, consultant, or board member of a prescription drug manufacturer or related trade association and will not be deemed to have a conflict of interest, see subsection (2) of this section);
(b) Pharmacy benefit manager;
(c) Health carrier;
(d) Prescription drug wholesale distributor; or
(e) Trade association related to (a) through (d) of this subsection.
(5) If an advisory group member violates any of subsection (4) of this section, the member may be removed from the advisory group(s).
(6) To become a member of advisory groups, the authority will establish an application process to be maintained and posted on the authority's website.
(7) Advisory groups meet on a frequency as determined necessary by the board.
(8) Participation in advisory groups is voluntary. Members of the advisory groups are not compensated.
[Statutory Authority: RCW 41.05.021, 41.05.160, chapter 70.405 RCW, and 2022 c 153. WSR 24-02-078, § 182-52-0030, filed 1/2/24, effective 6/10/24.]
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